Coronary CT angiography to guide percutaneous coronary intervention
Keywords:
coronary, angiography, computed tomographyAbstract
Background: The present study was conducted for assessing efficacy of Coronary CT angiography to guide percutaneous coronary intervention. Materials & methods:A total of 100 patients of chronic total occlusion (CTO) were enrolled in the present study. The CT-guided PCI procedure involved placing CT and fluoroscopic images side-by-side on the screen. Images were analysed for location, segment, plaque characteristics, calcification, and proximal lumen diameter of the CTO before PCI. The guidewire was advanced and manipulated under CT guidance. The PCI was carried out and the results were compared. Results:Mean age of the patients with success (n=88) and failure (n=12) was 62.3 years and 61.8 years respectively. There were 56 males and 32 females among the successful PCI group while there were 8 males and 4 females in the failure PCI group respectively. Location of CTO and length of occlusion were significantly different among patients divided on the basis of prognosis. Conclusion:From the above results, the authors conclude that CT Guidance can delineate the routes of CTOs and clearly characterize plaques and hence improve the outcome.
Downloads
References
Choi JH, Kim EK, Kim SM, Kim H, Song YB, Hahn JY, Choi SH, Gwon HC, Lee SH, Choe YH, Oh JK. Noninvasive discrimination of coronary chronic total occlusion and subtotal occlusion by coronary computed tomography angiography.JACC Cardiovasc Interv. 2015; 8:1143–1153.
Fang HY, Lu SY, Lee WC, Lin YS, Cheng CI, Chen CJ, Yang CH, Yip HK, Hang CL, Fang CY, Wu CJ. The predictors of successful percutaneous coronary intervention in ostial left anterior descending artery chronic total occlusion. Catheter Cardiovasc Interv. 2014 Oct 1;84(4):E30-7.
Garcia JA, Bhakta S, Kay J, Chan KC, Wink O, Ruijters D, Carroll JD. On-line multi-slice computed tomography interactive overlay with conventional X-ray: a new and advanced imaging fusion concept.Int J Cardiol. 2009; 133:e101–e105.
Hong SJ, Kim BK, Cho I, Kim HY, Rha SW, Lee SH, Park SM, Kim YH, Chang HJ, Ahn CM, Kim JS, Ko YG, Choi D, Hong MK, Jang Y; CT-CTO Investigators. Effect of Coronary CTA on Chronic Total Occlusion Percutaneous Coronary Intervention: A Randomized Trial. JACC Cardiovasc Imaging. 2021 Oct;14(10):1993-2004.
Khidoyatova, M. R., Kayumov, U. K., Inoyatova, F. K., Fozilov, K. G., Khamidullaeva, G. A., & Eshpulatov, A. S. (2022). Clinical status of patients with coronary artery disease post COVID-19. International Journal of Health & Medical Sciences, 5(1), 137-144. https://doi.org/10.21744/ijhms.v5n1.1858
Ng W, Chen WH, Lee PY, Lau CP. Initial experience and safety in the treatment of chronic total coronary occlusions with a new optical coherent reflectometry-guided radiofrequency ablation guidewire. The American Journal of Cardiology. 2003;92(6):732–734.
Olivari Z, Rubartelli P, Piscione F, Ettori F, Fontanelli A, Salemme L, Giachero C, Di Mario C, Gabrielli G, Spedicato L, et al. Immediate results and one-year clinical outcome after percutaneous coronary interventions in chronic total occlusions: data from a multicenter, prospective, observational study (TOAST-GISE) Journal of the American College of Cardiology. 2003;41(10):1672–1678.
Opolski MP, Achenbach S. CT angiography for revascularization of CTO: crossing the borders of diagnosis and treatment.JACC Cardiovasc Imaging. 2015; 8:846–858.
Opolski MP, Ó Hartaigh B, Berman DS, Budoff MJ, Achenbach S, Al-Mallah M, Andreini D, Cademartiri F, Chang HJ, Chinnaiyan K, Chow BJ, Hadamitzky M, Hausleiter J, Feuchtner G, Kim YJ, Kaufmann PA, Leipsic J, Maffei E, Pontone G, Raff G, Shaw LJ, Villines TC, Min JK. Current trends in patients with chronic total occlusions undergoing coronary CT angiography.Heart. 2015; 101:1212–1218.
Orlic D, Stankovic G, Sangiorgi G, Airoldi F, Chieffo A, Michev I, Montorfano M, Carlino M, Corvaja N, Finci L, et al. Preliminary experience with the frontrunner coronary catheter: novel device dedicated to mechanical revascularization of chronic total occlusions. Catheterization and Cardiovascular Interventions. 2005;64(2):146–152.
Puma JA, Sketch MHJr, Tcheng JE, Harrington RA, Phillips HR, Stack RS, Califf RM. Percutaneous revascularization of chronic total occlusion: an overview. Journal of the American College of Cardiology. 1995;26(1):1–11.
Roguin A, Abadi S, Engel A, Beyar R. Novel method for real-time hybrid cardiac CT and coronary angiography image registration: visualising beyond luminology, proof-of-concept.EuroIntervention. 2009; 4:648–653.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Suryatika, I. B. M., Anggarani, N. K. N., Poniman, S., & Sutapa, G. N. (2020). Potential risk of cancer in body organs as result of torak CT-scan exposure. International Journal of Physical Sciences and Engineering, 4(3), 1–6. https://doi.org/10.29332/ijpse.v4n3.465
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
